Proof of Service SubstitutedCal. Super. - 6th Dist.March 17, 2020208C083008 , Santa Clara-Civn a A d h h f, fld. w I ' .erzstamps ate ere w engmn is t? .SC-104 Proof of Servuce Electronically filedH VI g Use this form to serve a person, a buSifleSSa 0r a Public entity‘ To learn more I about proofpf service, read What Is "ProoquService ’? Form 301043. T0 learn more gy sutperfsr COturéff CA, about how to serve a business or entity, read How to Serve a Business or Public Entity, oun y o an a ara’ Form-SC-104C. On 6/3/2020 1:43 PM Reviewed By:D. Pinheiro To serve a business, you must serve one ofthe following people: - Owner (for a sole proprietorship) I case #ZOSC083008 - Partner (for a partnership) or general partner (for a limited partnership) EnV #4409206 - Any officer or general manager (corporation or association) ' Any person authorized for service by the business (corporation, association, general partnership, Fill in mun name and street address: limited partnership) Superior Courtof California - Any person authorized. for service with the Secretary of State (corporation, association, limited County 0f 531‘!“ Clara liability company {L.LC], limited liability partnership [LLP], limited partnership) 191 NORTH FIRST STREET To serve a public entity, you must first file a claim with that entity, then serve one ofthe following SAN JOSE’ CA 951 13 people; Fill in case number, case name. hearing date, day, . tir'ne, and department below: - Clerk (of a cny or county) . . Chief officer or director (of a public agency) C3“ ““1"“- 2959083008 ' Any person authorized for service by the entity gggzgafi'fic Q) a. Ifyou are. serving a person, write the person’s name below: ' Again” GABRIEL SOLORIO GABRIEL SOLORIO b. Ifyou are serving a business or entity, write the name of the business or Hearing Date: entity, the person authorized for service, and that person’s job title: /27/2020 Time: Dept: Business o'r Agency Name 1:00 pM 1 5 Person Authorized for Service Job Tide ® Instructions to Server: I You must be at least 18 years old and not be named in this case. Follow these steps: ° Give a copy of all the documents checked in® to the person in CD or 0 Give a copy of all the documents checked in® to one of the following people: a. A competent adult (at least 18) living with, and at the home of the person in @, 0r b. An adult (at least 18) who seems t0 be in charge at the usual workplace of the perSo‘n in ®, or c. An adult (at least 18) who seems to be in charge where the person in® usually receives mail (but not a U.S. Post Office box), ifthere is no known physical address for the person in ® and mail a copy of the documents lefi with one of the adults in a, b, or c above to the person in ®. THEN - Complete and sign this form, and ° Give or mail your completed form to the person who asked you to Serve these court papers, in timefor theform to befiled with the court at least 5 days before the hearing. C3) I served the person in Q) a copy of the documents checked below: a. E SC-lOO, Plaintiff’s Claim and ORDER t0 Go t0 Small Claims Court b. D SC-IZO, Defendant 's Claim and ORDER t0 Go t0 Small Claims Court ii; i .3 n). . ' c. D Order for examination (Thisform must be personally served. Check theform that was served): Note: The court can issue a civil arrest warrant ifthe served party does not come to court only ifthe orderfor examinan‘on was personally served by a registeredproce-ss server, sheri‘fif marshal, 0r someone appointed by the court. (I) D SC-‘l 34, Application and Order lo Produce Statement ofAssets and t0 Appearfor Examination (2) D AT-I 38/EJ-1 25, Application and Orderfor Appearance and Examination d. g Other (51,3039); NOTICE To LITIGANTS; NOTICE To SMALL CLAIM LITIGANTS; Judicia‘ Coundl of California, www.courtinfo.ca.gov ' ' C858 ID. 581 6507 Revised January1 2009 Optional Form r00 o erv'ce Code ofCivu Proce'dure. §§ 116.340. 415.10. 415.20 (sman Claims) sc'1 04' Page 1 Of 2 \IIA TPAV 11‘" T‘.‘ Case Number: 208C083008 a. D Personal Service: I personally gave copies of the document‘s checked in® to the person in® : On (date): At (time): At this address: City: State: _ Zip: b. Substituted Service: I personally gave copies of the documents checked in® (a, b, 0r d) t0 (check one): E A competent adult (at least 18) at the hOme of, and living with the person in Q), or D- An adult who seems to be in charge where the person in® usually works, or D An adult who seems to be in charge where the person in G) usually receives mail, or has a private post office box (not a U.S. Post Office box), if there is no known physical address for the person in (D. ltold that adult, “Please give these court papers to (name of person in ®).” Idid'this 0n (date): 5/24/2020 At (time): 8:05 AM At this address: 135 W J ST APT 10 ‘ Clty: LOS BANOS State: CA Zip: 93635 Name or description of the person I gave the papers to: JOHN DOE WHO CONFIRMED DEFENDANT RESIDES CO-RESIDENT Gender: MALE Age: 18-20 Skin Tone: MODERATE BROWN Hair: BLACK Eye Color: BROWN Height: SFT SIN - SFT IIIN Weight: 171 LBS - 190 LBS After serving the court papers, I put copies of the documents listed in® in an envelope, sealed the envelope, and put first-class prepaid postage on it. Iaddressed the envelope to the person in CD at the address where I left the copies. ‘- I mailed the envelope on (daze): 5}Qgt ~fl31€2 from (city, state): CHOWCHILLA, MMVUOL 'by‘ leaving it (check one): U a; D At a U.‘S. Postal Service mail drop, o'r b. E At an office 0r business mail drop where I know the mail is picked up every day and deposited with the U.S. Postal Service, or c. {j With someone else I asked to mail the documents to the person in ®, and I have attached that person’s completed Form SC-104A. ® Agency Information: Name: V REYES DOCUMENT SERVING LLC - VICTOR REYES Phone: 5598781592 Address: 2128 KENNEDY CT City: CHOWCHTLLA State: CA Zip: 93.610 County of registration: MADERA Registration number: 106 Fee for service: $ 58.00 Process Server Information: County 0f registration: MADERA Registration number: 106 @ I declare under penalty of perjury under California state law that I am 'at least 18 years old and not named in this case and that the information above is true and correct. Date 579g“a3 VICTOR MARTINEZ REYES ’m ?’V) 43;pr ‘ Type orprint server's name Serve} signs her e aftei serving” Revised January1, 2009 Proof of service Case ID: 5816507 (Small Claims) SC-1 04. Page 2 of 2 \VIA FAVITII‘F,